{"site":{"name":"HealthPulse","tagline":"Public health vital signs, live: wastewater surveillance, respiratory illness, outbreaks, and health alerts.","domain":"healthpulse.pages.dev","userAgent":"HealthPulse/0.1 (+https://healthpulse.pages.dev; vital-signs dashboard)"},"instruments":[{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"% of ED visits","decimals":2,"history":400,"needsKey":null,"higherIsWorse":true,"describe":"Share of all US emergency department visits with an acute respiratory illness diagnosis — the broadest daily read on how much respiratory disease is actually reaching hospitals. Summer floor is around 6%; winter peaks have run past 20%.","id":"ari-ed-visits","section":"Vitals","title":"ED visits for acute respiratory illness","cadence":"12h","source":{"name":"CDC NSSP (Emergency Department Respiratory Daily)","url":"https://data.cdc.gov/d/vjzj-u7u8","license":"public domain (US Government work)"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"% of outpatient visits","decimals":2,"history":200,"needsKey":null,"higherIsWorse":true,"describe":"Weighted share of outpatient doctor visits for influenza-like illness across CDC sentinel providers. Above roughly 3% means flu season is genuinely underway, not just background coughs.","id":"ili-national","section":"Vitals","title":"Influenza-like illness (national %ILI)","cadence":"12h","source":{"name":"CDC ILINet via CMU Delphi Epidata","url":"https://cmu-delphi.github.io/delphi-epidata/api/fluview.html","license":"CC BY (Delphi) over CDC public-domain data"},"thresholds":[{"level":"critical","gte":7},{"level":"serious","gte":5},{"level":"warning","gte":3}]},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"WVAL","decimals":2,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"Mean CDC wastewater viral activity level for SARS-CoV-2 across ~1,000 US sewersheds. Wastewater does not depend on anyone seeking care or getting tested, so it usually turns up a week or two before cases and hospital visits do. 3 is CDC \"moderate\", 4.5 \"high\", 8 \"very high\".","id":"wastewater-covid","section":"Vitals","title":"SARS-CoV-2 in wastewater","cadence":"12h","source":{"name":"CDC NWSS — Wastewater Viral Activity Level","url":"https://data.cdc.gov/d/atcp-73re","license":"public domain (US Government work)"},"thresholds":[{"level":"critical","gte":8},{"level":"serious","gte":4.5},{"level":"warning","gte":3}]},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"WVAL","decimals":2,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"Mean CDC wastewater viral activity level for influenza A across reporting US sewersheds — an early, testing-independent read on the flu season ramping up.","id":"wastewater-influenza-a","section":"Wastewater","title":"Influenza A in wastewater","cadence":"12h","source":{"name":"CDC NWSS — Wastewater Viral Activity Level","url":"https://data.cdc.gov/d/atcp-73re","license":"public domain (US Government work)"},"thresholds":[{"level":"critical","gte":8},{"level":"serious","gte":4.5},{"level":"warning","gte":3}]},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"WVAL","decimals":2,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"Mean CDC wastewater viral activity level for respiratory syncytial virus. RSV drives the winter surge in infant and older-adult hospitalisations, and wastewater catches it before clinical testing does.","id":"wastewater-rsv","section":"Wastewater","title":"RSV in wastewater","cadence":"12h","source":{"name":"CDC NWSS — Wastewater Viral Activity Level","url":"https://data.cdc.gov/d/atcp-73re","license":"public domain (US Government work)"},"thresholds":[{"level":"critical","gte":8},{"level":"serious","gte":4.5},{"level":"warning","gte":3}]},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"% of ED visits","decimals":2,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"Share of US emergency department visits with a COVID-19 diagnosis. Unlike case counts this does not depend on home testing or reporting habits, so it stays comparable season to season.","id":"ed-visits-covid","section":"Emergency Dept","title":"COVID-19 ED visits","cadence":"12h","source":{"name":"CDC NSSP via CMU Delphi Epidata","url":"https://cmu-delphi.github.io/delphi-epidata/api/covidcast-signals/nssp.html","license":"public domain (US Government work), served by CMU Delphi"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":"21d","seriesMode":"merge","unit":"% of ED visits","decimals":2,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"Share of US emergency department visits with an influenza diagnosis — the sharpest weekly marker of where the flu season sits, peaking well above 5% in bad years.","id":"ed-visits-influenza","section":"Emergency Dept","title":"Influenza ED visits","cadence":"12h","source":{"name":"CDC NSSP via CMU Delphi Epidata","url":"https://cmu-delphi.github.io/delphi-epidata/api/covidcast-signals/nssp.html","license":"public domain (US Government work), served by CMU Delphi"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":"28d","seriesMode":"merge","unit":"per 100k / week","decimals":1,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"New laboratory-confirmed COVID-19 hospital admissions per 100,000 people per week in CDC COVID-NET catchment areas — the severity end of the curve, and the number that maps most directly onto hospital strain.","id":"hosp-rate-covid","section":"Hospitalizations","title":"COVID-19 hospitalisation rate","cadence":"12h","source":{"name":"CDC RESP-NET (COVID-NET / FluSurv-NET / RSV-NET)","url":"https://data.cdc.gov/d/kvib-3txy","license":"public domain (US Government work)"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":"28d","seriesMode":"merge","unit":"per 100k / week","decimals":1,"history":160,"needsKey":null,"higherIsWorse":true,"describe":"New laboratory-confirmed influenza hospital admissions per 100,000 people per week in CDC FluSurv-NET catchment areas. Near zero all summer; a severe season pushes it past 5.","id":"hosp-rate-influenza","section":"Hospitalizations","title":"Influenza hospitalisation rate","cadence":"12h","source":{"name":"CDC RESP-NET (COVID-NET / FluSurv-NET / RSV-NET)","url":"https://data.cdc.gov/d/kvib-3txy","license":"public domain (US Government work)"},"thresholds":null},{"kind":"events","order":"desc","staleAfter":null,"seriesMode":"merge","unit":"","decimals":1,"history":120,"needsKey":null,"higherIsWorse":true,"describe":"Every formal WHO notification of an outbreak with potential international significance — the closest thing there is to a global early-warning wall.","id":"who-outbreak-news","section":"Outbreaks","title":"WHO Disease Outbreak News","cadence":"12h","source":{"name":"World Health Organization — Disease Outbreak News","url":"https://www.who.int/emergencies/disease-outbreak-news","license":"WHO content, CC BY-NC-SA 3.0 IGO"},"thresholds":null},{"kind":"events","order":"desc","staleAfter":null,"seriesMode":"merge","unit":"","decimals":1,"history":120,"needsKey":null,"higherIsWorse":true,"describe":"FDA food recalls in the most serious class — where eating the product could reasonably cause serious harm or death. Listed newest first over the last six months.","id":"fda-food-recalls","section":"Recalls & Shortages","title":"Class I food recalls","cadence":"12h","source":{"name":"openFDA — Food Enforcement Reports","url":"https://open.fda.gov/apis/food/enforcement/","license":"https://open.fda.gov/terms/ (public domain, no key required)"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":"14d","seriesMode":"merge","unit":"listings","decimals":0,"history":365,"needsKey":null,"higherIsWorse":true,"describe":"How many drug product listings FDA currently records as being in shortage. Counts packaged products rather than distinct molecules, so read the trend rather than the absolute number.","id":"drug-shortages","section":"Recalls & Shortages","title":"Drug products in shortage","cadence":"12h","source":{"name":"openFDA — Drug Shortages","url":"https://open.fda.gov/apis/drug/shortages/","license":"https://open.fda.gov/terms/ (public domain, no key required)"},"thresholds":null},{"kind":"metric","order":"desc","staleAfter":null,"seriesMode":"merge","unit":"alerts","decimals":0,"history":288,"needsKey":null,"higherIsWorse":true,"describe":"How many NWS heat or cold health alerts are in force across the US right now. Extreme heat kills more Americans in a typical year than any other weather hazard, and these alerts are what triggers cooling centres and utility shut-off moratoria.","id":"heat-cold-alerts","section":"Environment","title":"Active heat & cold health alerts","cadence":"12h","source":{"name":"NOAA / National Weather Service — active alerts","url":"https://api.weather.gov/alerts/active","license":"public domain (US Government work)"},"thresholds":[{"level":"critical","gte":150},{"level":"serious","gte":50},{"level":"warning","gte":10}]},{"kind":"metric","order":"desc","staleAfter":null,"seriesMode":"merge","unit":"AQI","decimals":0,"history":720,"needsKey":"AIRNOW_API_KEY","higherIsWorse":true,"describe":"Worst current AQI across the pollutants reported by monitors near downtown Houston. Above 100 the air is unhealthy for people with asthma, heart disease, or lung disease; above 150 it is unhealthy for everyone.","id":"airnow-aqi","section":"Environment","title":"Air Quality Index (Houston)","cadence":"12h","source":{"name":"AirNow (US EPA and partner agencies)","url":"https://docs.airnowapi.org/","license":"public domain (US Government work); AirNow API terms apply"},"thresholds":[{"level":"critical","gte":151},{"level":"serious","gte":101},{"level":"warning","gte":51}]}]}